HomeMy WebLinkAbout2013-Water Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date:, 1A111 3
Meter(s) Installed At: 4 2. e-S. ko el(c.- &b-,re + •
Name of Owner: ()avciop .r-
Address of Owner:, ?Z0 Ca 610 S- ti-
Meter(s) Size: . 1 u
Meter(s)Use: Check the Use(s)that apply.
Typical New Construction Typical Multi-Unit,Multiple Meter
Single Meter NEMNO ATp"VAMS
CISOMIIOETO
SANITARY WARR
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Typical Deduct Meter Typical Water Use Only Meter
NO SANITARY NOIR IMOLATIONNAURIS
SEWER 011101A OS ObNAO[TO
ALLOWED SANITARY OMER NO SA1RARY
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SANITARY Sly R
3s 3.1117211
r RRUMNR CONTROL VALVE .
II TTR IOL.AV/ON VALVO
I OMV CLsrn* .VALVE
Note: 1. A Plumbing Permit may be required prior to the installation of the issued water
meter(s).
2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a home
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters> 1-1/2" require a bypass.
Meter(s) will be installed and used according to the above information.
Signature of Owner or Agent Print Name of Applicant and Company